Scrotal leiomyoma: a rare cause of scrotal swelling

Egharevba, P. A.,; Omoseebi, Oladipo; Okunlola, Abiodun Idowu; Omisanjo, OA

doi:10.1186/s12301-020-00082-1

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Imaging studies revealed a left paratesticular mass, and surgery confirmed the histopathological features consistent with scrotal leiomyoma [12]. Egharevba et al ( 2020) also presented a case of scrotal leiomyoma in a 39-year-old male with a progressive right-sided hemiscrotal swelling over one year, which was excised, and histopathology revealed scrotal leiomyoma [13]. Table 1 summarizes the previously reported cases of scrotal leiomyoma.…”

Section: Discussionmentioning

confidence: 91%

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

Sana Ahuja,

Verma,

Aziz Khan

et al. 2024

ann urol oncol

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Leiomyomas, originating from smooth muscle cells, are common in the uterus but rare in the scrotum, presenting a clinical challenge. Scrotal leiomyomas, first described in the 19th century, are characterized by benign pathology from the subcutaneous dartos muscle. We present two cases of middle-aged males with scrotal leiomyomas, detailing clinical presentations, histopathological findings, and immunohistochemistry results. The first involved a 48-year-old with a painless scrotal lump, excised to reveal well-circumscribed smooth muscle bundles. Immunohistochemistry confirmed vimentin, desmin, and smooth muscle actin (SMA) positivity, consistent with scrotal leiomyoma. The second case featured a 25-year-old with a painless scrotal swelling, histologically matching the features of scrotal leiomyoma. Accurate diagnosis is crucial for guiding appropriate management strategies. Clinicians often employ a combination of clinical evaluation, imaging studies, and histopathological examination to confirm the presence of scrotal leiomyomas. Ultrasound remains a valuable tool for assessing the size, location, and vascularity of the tumor, aiding in the formulation of a differential diagnosis. Definitive diagnosis, however, relies on histological examination, which typically reveals spindle-shaped smooth muscle cells arranged in interlacing bundles.

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Section: Discussionmentioning

confidence: 91%

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

Sana Ahuja,

Verma,

Aziz Khan

et al. 2024

ann urol oncol

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“…The primary treatment is surgical excision of the local lesion [20]. Complete surgical resection of the tumor is curative and recurrence after adequate resection is rare.…”

Section: Scrotal Leiomyomamentioning

confidence: 99%

Extratesticular masses focusing on MRI findings

Edo,

Yagi,

Mizuno

et al. 2024

Jpn J Radiol

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Scrotal masses, whether cystic or solid lesions, are routinely evaluated using ultrasonography. Magnetic resonance imaging (MRI) may be used for further investigation in cases with atypical findings, difficult diagnoses, large masses, and/or unclear relationships with the surrounding tissues. Scrotal solid masses are divided into intra- and extra-testicular masses. A staggering 90% of the intratesticular masses are malignant, whereas 75% of extratesticular masses are benign. Extratesticular masses are less common than intratesticular masses; however, some extratesticular masses present characteristic MRI findings. Familiarity with these specific MRI features of extratesticular masses is beneficial to radiologists, as appropriate diagnoses can help avoid unnecessary invasive treatments such as orchiectomy. In this review, we describe fibrous pseudotumors, polyorchidism, adenomatoid tumors, and scrotal leiomyoma as benign paratesticular masses, focusing on their characteristic imaging features on MRI. Although these tumors are extremely rare, their MRI findings are distinctive, and accurate diagnoses can prevent unnecessary orchiectomy. In addition, to demonstrate the pitfalls of diagnosing extratesticular masses, we present a case of seminoma misidentified as extratesticular masses due to large extensions outside the testis. Spermatic cord sarcoma, including rhabdomyosarcoma, leiomyosarcoma, and liposarcoma, and metastasis to the spermatic cord are described as malignant extratesticular masses. This review focused on extratesticular masses and elaborates the imaging findings that can aid in the accurate diagnosis using MRI.

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Scrotal leiomyoma: a rare cause of scrotal swelling

Cited by 2 publications

References 9 publications

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

Exploring Scrotal Leiomyomas, Unraveling the Mysteries of a Rare Tumor: A Case Report

Extratesticular masses focusing on MRI findings

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